Provider Demographics
NPI:1114936515
Name:EMERGENCY MEDICINE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:EMERGENCY MEDICINE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-748-9151
Mailing Address - Street 1:4 OPEN SQUARE WAY
Mailing Address - Street 2:SUITE 416
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-6295
Mailing Address - Country:US
Mailing Address - Phone:413-437-7464
Mailing Address - Fax:413-437-7456
Practice Address - Street 1:271 CAREW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:413-748-9151
Practice Address - Fax:413-452-6049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156085207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM19147OtherBCBS
MA9762400Medicaid
MADE4899OtherRAILROAD MEDICARE
MA9762400Medicaid
MAY50340Medicare UPIN